Active NPI
Diega Molina, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1962703553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 87033
- Practice address
- 5252 Balboa Ave
Suite 801
San Diego, CA 92117-6906 - Phone
- (858) 633-6012
- NPI assigned
- Nov 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Marriage & Family Therapist | 106H00000X | 68520 | CA | |
| Marriage & Family Therapist | 106H00000X | 87033 | CA | Primary |
Addresses
Primary practice location
5252 Balboa Ave
Suite 801
San Diego, CA 92117-6906
Mailing address
5252 Balboa Ave
Suite 801
San Diego, CA 92117-6906
Phone (858) 633-6012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87033 | CA | MD | Clinical Social Worker |
| 68520 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1962703553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5252 BALBOA AVE",
"address_2": "SUITE 801",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176906",
"telephone_number": "858-633-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5252 BALBOA AVE",
"address_2": "SUITE 801",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176906",
"telephone_number": "858-633-6012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "DIEGA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-12",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "68520",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "87033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.